基于“治虚三本”理论探讨癌因性疲乏的中医辨治  

Exploration on Traditional Chinese Medicine Differentiation and Treatment of Cancer Related Fatigue Based on the Theory of“Treating Deficiency with Three Sources”

作　　者：方子豪 田华琴[2] 陈学彰[2] 刘皓然 FANG Zi-hao;TIAN Hua-qin;CHEN Xue-zhang;LIU Hao-ran(The Eighth Clinical Medical School of Guangzhou University of Chinese Medicine,Foshan 528000 Guangdong,China;Foshan Hospital of Traditional Chinese Medicine,Foshan 528000 Guangdong,China)

机构地区：[1]广州中医药大学第八临床医学院,广东佛山528000 [2]佛山市中医院,广东佛山528000

出　　处：《中医肿瘤学杂志》2024年第1期84-90,共7页Journal of Oncology in Chinese Medicine

基　　金：广东省中医药局中医药科研项目(编号:20221379)。

摘　　要：癌因性疲乏属于中医学“虚劳”的范畴,患者受肿瘤侵袭及放化疗、靶向治疗等药毒影响,机体正邪相争,阴阳失调,脏腑气血亏损,最终久虚不复而成劳。“治虚三本”理论来源于明代医家汪琦石所著《理虚元鉴》,强调肺、脾、肾三脏的功能失调是虚劳发生的核心病机。本文以“治虚三本”理论为指导,从肺、脾、肾三脏出发探讨癌因性疲乏的中医辨治。Cancer related fatigue belongs to the category of“consumptive disease”in traditional Chinese medicine(TCM).Patients are affected by the tumor invasion,chemoradiotherapy,targeted therapy,and other drugs.The struggle between vital and pathogenic qi,Yin and Yang imbalance,qi and blood loss of viscera,finally lead to the formation of consumptive disease.The theory of“treating deficiency with three sources”originates from the Lixu Yuanjian written by WANG Qi-shi,which emphasizes that the dysfunction of lung,spleen,and kidney is the core pathogenesis of consumptive disease.Guided by the theory of“treating deficiency with three sources”,this paper discusses the TCM differentiation and treatment of cancer related fatigue from the perspective of lung,spleen,and kidney.

关 键 词：癌因性疲乏 治虚三本 理虚元鉴 中医辨治 

分 类 号：R273[医药卫生—中西医结合] R730.52[医药卫生—中医肿瘤科] R730.6[医药卫生—中医学]